| NPI | 1285350421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117793) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA SUDRC13339) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-09-19 |